The prenatal care color line and Latina migrant motherhood

Med Anthropol Q. 2023 Dec;37(4):325-340. doi: 10.1111/maq.12782. Epub 2023 Jun 24.

Abstract

Drawing from ethnographic research with Latin American migrant mothers seeking prenatal care at a safety net clinic in southern Connecticut, I describe the racial dynamics of a medical hierarchy that situates White providers and nurses above Black and Brown medical assistants and patients, terming this the prenatal care color line. I characterize three segments of the prenatal care color line: through (1) onerous enrollment in prenatal care support that strips rights from migrant mothers; (2) differences in racialized embodiment that harden essentialist and stereotyped notions surrounding Latinx reproduction, making the experience of pregnancy and birth a process of race-making; and (3) obstetric racism manifest through both denying or delaying critical medical care to Latinx pregnant patients while also overmedicalizing their uncomplicated births. I argue that the presence of the prenatal care color line-in my study clinic as in other safety net clinics-permits the harsher racialization of Latinx birthers.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Anthropology, Medical
  • Connecticut
  • Female
  • Hispanic or Latino*
  • Humans
  • Mothers
  • Pregnancy
  • Prenatal Care*
  • Racism*
  • Safety-net Providers
  • Transients and Migrants*